{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T10:27:10Z","timestamp":1789900030904,"version":"4.0.1"},"reference-count":36,"publisher":"American Society for Microbiology","issue":"1","license":[{"start":{"date-parts":[[2016,2,16]],"date-time":"2016-02-16T00:00:00Z","timestamp":1455580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/3.0\/"},{"start":{"date-parts":[[2016,3,2]],"date-time":"2016-03-02T00:00:00Z","timestamp":1456876800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["mBio"],"published-print":{"date-parts":[[2016,3,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:p>\n            Immunoassays are currently needed to quantify\n            <jats:italic>Loa loa<\/jats:italic>\n            microfilariae (mf)\n            <jats:italic>.<\/jats:italic>\n            To address this need, we have conducted proteomic and bioinformatic analyses of proteins present in the urine of a\n            <jats:italic>Loa<\/jats:italic>\n            mf-infected patient and used this information to identify putative biomarkers produced by\n            <jats:italic>L.\u00a0loa<\/jats:italic>\n            mf. In total, 70 of the 15,444 described putative\n            <jats:italic>L.\u00a0loa<\/jats:italic>\n            proteins were identified. Of these 70, 18 were\n            <jats:italic>L.\u00a0loa<\/jats:italic>\n            mf specific, and 2 of these 18 (LOAG_16297 and LOAG_17808) were biologically immunogenic. We developed novel reverse luciferase immunoprecipitation system (LIPS) immunoassays to quantify these 2 proteins in individual plasma samples. Levels of these 2 proteins in microfilaremic\n            <jats:italic>L.\u00a0loa<\/jats:italic>\n            -infected patients were positively correlated to mf densities in the corresponding blood samples (\n            <jats:italic>r<\/jats:italic>\n            = 0.71 and\n            <jats:italic>P<\/jats:italic>\n            &lt; 0.0001 for LOAG_16297 and\n            <jats:italic>r<\/jats:italic>\n            = 0.61 and\n            <jats:italic>P<\/jats:italic>\n            = 0.0002 for LOAG_17808). For LOAG_16297, the levels in plasma were significantly higher in\n            <jats:italic>Loa<\/jats:italic>\n            -infected (geometric mean [GM], 0.045\u00a0\u00b5g\/ml) than in uninfected (\n            <jats:italic>P<\/jats:italic>\n            &lt; 0.0001),\n            <jats:named-content content-type=\"genus-species\">Wuchereria bancrofti<\/jats:named-content>\n            -infected (\n            <jats:italic>P<\/jats:italic>\n            = 0.0005), and\n            <jats:named-content content-type=\"genus-species\">Onchocerca volvulus<\/jats:named-content>\n            -infected (\n            <jats:italic>P<\/jats:italic>\n            &lt; 0.0001) individuals, whereas for LOAG_17808 protein, they were not significantly different between\n            <jats:italic>Loa<\/jats:italic>\n            -infected (GM, 0.123\u00a0\u00b5g\/ml) and uninfected (\n            <jats:italic>P<\/jats:italic>\n            = 0.06) and\n            <jats:italic>W.\u00a0bancrofti<\/jats:italic>\n            -infected (\n            <jats:italic>P<\/jats:italic>\n            = 0.32) individuals. Moreover, only LOAG_16297 showed clear discriminative ability between\n            <jats:italic>L. loa<\/jats:italic>\n            and the other potentially coendemic filariae. Indeed, the specificity of the LOAG_16297 reverse LIPS assay was 96% (with a sensitivity of 77%). Thus, LOAG_16297 is a very promising biomarker that will be exploited in a quantitative point-of-care immunoassay for determination of\n            <jats:italic>L.\u00a0loa<\/jats:italic>\n            mf densities.\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>IMPORTANCE<\/jats:bold>\n            <jats:italic>Loa loa<\/jats:italic>\n            , the causative agent of loiasis, is a parasitic nematode transmitted to humans by the tabanid\n            <jats:italic>Chrysops<\/jats:italic>\n            fly. Some individuals infected with\n            <jats:italic>L.\u00a0loa<\/jats:italic>\n            microfilariae (mf) in high densities are known to experience post-ivermectin severe adverse events (SAEs [encephalopathy, coma, or death]). Thus, ivermectin-based mass drug administration (MDA) programs for onchocerciasis and for lymphatic filariasis control have been interrupted in parts of Africa where these filarial infections coexist with\n            <jats:italic>L.\u00a0loa<\/jats:italic>\n            . To allow for implementation of MDA for onchocerciasis and lymphatic filariasis, tools that can accurately identify people at risk of developing post-ivermectin SAEs are needed. Our study, using host-based proteomics in combination with novel immunoassays, identified a single\n            <jats:italic>Loa<\/jats:italic>\n            -specific antigen (LOAG_16297) that can be used as a biomarker for the prediction of\n            <jats:italic>L.\u00a0loa<\/jats:italic>\n            mf levels in the blood of infected patients. Therefore, the use of such biomarker could be important in the point-of-care assessment of\n            <jats:italic>L.\u00a0loa<\/jats:italic>\n            mf densities.\n          <\/jats:p>","DOI":"10.1128\/mbio.02132-15","type":"journal-article","created":{"date-parts":[[2016,2,17]],"date-time":"2016-02-17T02:21:45Z","timestamp":1455675705000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":26,"title":["Identification and Validation of\n            <i>Loa loa<\/i>\n            Microfilaria-Specific Biomarkers: a Rational Design Approach Using Proteomics and Novel Immunoassays"],"prefix":"10.1128","volume":"7","author":[{"given":"Papa M.","family":"Drame","sequence":"first","affiliation":[{"name":"Helminth Immunology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, 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